| NPI | 1962704213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA S MATOS Director/President 305-596-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC8541) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |